Physician Compare National (NPI:1528141652)

HEALTHCARE PROVIDER: DIANE HILDE MAGLIULO DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528141652
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254501331
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110829000075
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAGLIULO
	Individual professional last name
Provider First Name	DIANE
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	245 W MAIN ST
	Group Practice or individual's line 1 address
City	BAY SHORE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117068323
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y